The nurse preparing a patient with a seizure disorder for discharge. Which of the following should the nurse include as part of the discharge teaching plan?
Avoid alcoholic beverages.
Take tub baths instead of showers.
When the seizures stop, discontinue the medication.
Continue to take over-the-counter (OTC) medications as needed.
The Correct Answer is A
A. Avoid alcoholic beverages. – Correct Answer. Alcohol can lower the seizure threshold and interfere with antiepileptic medications.
B. Take tub baths instead of showers. – Incorrect. Showers are safer because a seizure in a bathtub increases the risk of drowning.
C. When the seizures stop, discontinue the medication. – Incorrect. Antiepileptic drugs should not be stopped abruptly, even if seizures are well controlled.
D. Continue to take OTC medications as needed. – Incorrect. Some OTC medications can interact with antiepileptic drugs, so a healthcare provider should be consulted before use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Obtain a prescription for supplemental oxygen. – Correct Answer. Hypoxia must be corrected first to prevent tissue hypoxia and organ failure.
B. Obtain a prescription to administer intravenous fluids. – Incorrect. IV fluids are important but oxygenation is the priority.
C. Obtain a prescription to administer insulin. – Incorrect. Insulin corrects hyperglycemia but is not the first priority over oxygenation.
D. Obtain a prescription to check the patient’s glucose level. – Incorrect. While glucose monitoring is essential, treating hypoxia takes priority.
Correct Answer is A
Explanation
A. Obtain the patient's blood glucose level between 2a.m-4a.m – Correct Answer. The Somogyi effect occurs when nighttime hypoglycemia triggers a rebound hyperglycemia in the morning. Checking the blood glucose level during the early morning hours helps confirm this phenomenon.
B. Check the patient for a change in level of consciousness between 2a.m-4a.m – Incorrect. While severe hypoglycemia can affect consciousness, the best way to confirm the Somogyi effect is through blood glucose monitoring.
C. Withhold the nighttime snack and check the glucose at 6:00 a.m. – Incorrect. A nighttime snack can help prevent the hypoglycemia that leads to the Somogyi effect.
D. Administer an increased dose of NPH insulin in the evening. – Incorrect. Increasing insulin could worsen nighttime hypoglycemia, making the Somogyi effect worse.
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